Guia de Implementação da SES GO - Medicamentos
1.2.3 - draft

Guia de Implementação da SES GO - Medicamentos - Downloaded Version 1.2.3 See the Directory of published versions

## Perfil: Dispensação do Medicamento prescrito.

URL oficial: https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/DispensacaoMedicamento | Versão: 1.2.3
Draft as of 2026-03-09 | Nome para computador: DispensacaoMedicamento

Dispensação do Medicamento prescrito.

Usos:

- Este Perfil não é utilizado por nenhum perfil neste guia de implementação

You can also check for usages in the FHIR IG Statistics

### Representações do perfil

Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.

- Diferenças
- Elementos chave
- Detalhes
- Estatísticas/Referencias
- Tudo

Essa estrutura é derivada de MedicationDispense

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
identifier |  | 1..1 | Identifier | Código de origem
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
medication[x] |  | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject |  | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Peso
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Altura
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Classificação da doença - justificativa
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
Documentação para este formato

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..1 | Identifier | Código de origem
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Vínculo: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x] | Σ | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject | Σ | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Peso
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Altura
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Classificação da doença - justificativa
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
MedicationDispense.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..1 | Identifier | Código de origem
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Vínculo: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
statusReason[x] |  | 0..1 |  | Why a dispense was not performed Vínculo: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
category |  | 0..1 | CodeableConcept | Type of medication dispense Vínculo: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x] | Σ | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject | Σ | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Peso
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Altura
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Classificação da doença - justificativa
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
performer |  | 0..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Who performed the dispense and what they did Vínculo: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Vínculo: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 0..1 | BackboneElement | Whether a substitution was performed on the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
wasSubstituted |  | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Vínculo: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason |  | 0..* | CodeableConcept | Why was substitution made Vínculo: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty |  | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of relevant lifecycle events
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
MedicationDispense.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | a norma FHIR
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | a norma FHIR
MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:peso.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:altura.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:justificativa.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | a norma FHIR
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v6.5
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v6.5
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

Essa estrutura é derivada de MedicationDispense

Resumo

Obrigatório: 10 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Medicamento Especializado (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/medicamento-especializado)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Peso LME (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/peso-lme)
- Altura LME (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/altura-lme)
- Justificativa da Dispensação do Medicamento (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/condicao-cid10)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of MedicationDispense.supportingInformation

Visão de diferenças

Essa estrutura é derivada de MedicationDispense

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
identifier |  | 1..1 | Identifier | Código de origem
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
medication[x] |  | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject |  | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Peso
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Altura
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
reference |  | 0..1 | string | Classificação da doença - justificativa
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
Documentação para este formato

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..1 | Identifier | Código de origem
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Vínculo: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x] | Σ | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject | Σ | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Peso
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Altura
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
reference | Σ C | 0..1 | string | Classificação da doença - justificativa
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
MedicationDispense.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..1 | Identifier | Código de origem
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Vínculo: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
statusReason[x] |  | 0..1 |  | Why a dispense was not performed Vínculo: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
category |  | 0..1 | CodeableConcept | Type of medication dispense Vínculo: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x] | Σ | 1..1 | Reference(Medicamento Especializado) | Medicamento dispensado
subject | Σ | 1..1 | Reference(Indivíduo) | Identificação do indivíduo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event
Fatias para supportingInformation |  | 2..* | Reference(Resource) | Information that supports the dispensing of the medication Fatia: Não ordenado, Aberto por profile:resolve()
supportingInformation:peso |  | 0..1 | Reference(Peso LME) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Peso
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:altura |  | 1..1 | Reference(Altura LME) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Altura
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:justificativa |  | 1..1 | Reference(Justificativa da Dispensação do Medicamento) | Information that supports the dispensing of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Classificação da doença - justificativa
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
performer |  | 0..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Who performed the dispense and what they did Vínculo: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Vínculo: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 1..1 | dateTime | Data de referência/competência da dispensação
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 0..1 | BackboneElement | Whether a substitution was performed on the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
wasSubstituted |  | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Vínculo: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason |  | 0..* | CodeableConcept | Why was substitution made Vínculo: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty |  | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of relevant lifecycle events
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
MedicationDispense.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | a norma FHIR
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | a norma FHIR
MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
MedicationDispense.subject.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:peso.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:altura.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.supportingInformation:justificativa.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | a norma FHIR
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v6.5
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v6.5
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

Essa estrutura é derivada de MedicationDispense

Resumo

Obrigatório: 10 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Medicamento Especializado (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/medicamento-especializado)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Peso LME (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/peso-lme)
- Altura LME (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/altura-lme)
- Justificativa da Dispensação do Medicamento (https://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/condicao-cid10)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of MedicationDispense.supportingInformation

Outras representações do perfil: CSV, Excel, Schematron